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      Use of Complementary Traditional Chinese Medicines by Adult Cancer Patients in Taiwan: A Nationwide Population-Based Study.

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          Abstract

          Many patients with cancer seek complementary and alternative medicine treatments. We investigated the use of traditional Chinese medicine (TCM) by adult cancer patients in Taiwan.

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          Use of complementary and alternative medicine in cancer patients: a European survey.

          A Molassiotis, P. Fernadez-Ortega, D Pud … (2005)
          The aim of this study was to explore the use of complementary and alternative medicine (CAM) in cancer patients across a number of European countries. A descriptive survey design was developed. Fourteen countries participated in the study and data was collected through a descriptive questionnaire from 956 patients. Data suggest that CAM is popular among cancer patients with 35.9% using some form of CAM (range among countries 14.8% to 73.1%). A heterogeneous group of 58 therapies were identified as being used. Herbal medicines and remedies were the most commonly used CAM therapies, together with homeopathy, vitamins/minerals, medicinal teas, spiritual therapies and relaxation techniques. Herbal medicine use tripled from use before diagnosis to use since diagnosis with cancer. Multivariate analysis suggested that the profile of the CAM user was that of younger people, female and with higher educational level. The source of information was mainly from friends/family and the media, while physicians and nurses played a small part in providing CAM-related information. The majority used CAM to increase the body's ability to fight cancer or improve physical and emotional well-being, and many seemed to have benefited from using CAM (even though the benefits were not necessarily related to the initial reason for using CAM). Some 4.4% of patients, however, reported side-effects, mostly transient. It is imperative that health professionals explore the use of CAM with their cancer patients, educate them about potentially beneficial therapies in light of the limited available evidence of effectiveness, and work towards an integrated model of health-care provision.
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            Nationwide Population Science: Lessons From the Taiwan National Health Insurance Research Database.

            Ann W Hsing, John Ioannidis (2015)
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              How many cancer patients use complementary and alternative medicine: a systematic review and metaanalysis.

              Markus Horneber, Gerd Bueschel, Gabriele Dennert … (2012)
              No comprehensive systematic review has been published since 1998 about the frequency with which cancer patients use complementary and alternative medicine (CAM). MEDLINE, AMED, and Embase databases were searched for surveys published until January 2009. Surveys conducted in Australia, Canada, Europe, New Zealand, and the United States with at least 100 adult cancer patients were included. Detailed information on methods and results was independently extracted by 2 reviewers. Methodological quality was assessed using a criteria list developed according to the STROBE guideline. Exploratory random effects metaanalysis and metaregression were applied. Studies from 18 countries (152; >65 000 cancer patients) were included. Heterogeneity of CAM use was high and to some extent explained by differences in survey methods. The combined prevalence for "current use" of CAM across all studies was 40%. The highest was in the United States and the lowest in Italy and the Netherlands. Metaanalysis suggested an increase in CAM use from an estimated 25% in the 1970s and 1980s to more than 32% in the 1990s and to 49% after 2000. The overall prevalence of CAM use found was lower than often claimed. However, there was some evidence that the use has increased considerably over the past years. Therefore, the health care systems ought to implement clear strategies of how to deal with this. To improve the validity and reporting of future surveys, the authors suggest criteria for methodological quality that should be fulfilled and reporting standards that should be required.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Integr Cancer Ther
                Title: Integrative cancer therapies
                Publisher: SAGE Publications
                ISSN (Electronic): 1552-695X
                ISSN (Print): 1534-7354
                Publication date (Electronic): June 2018
                Volume: 17
                Issue: 2
                Affiliations
                [1 ] 1 Graduate Institue of Chinese Medicine, School of Chinese Medicine, China Medical University, Taichung, Taiwan.
                [2 ] 2 Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi, Taiwan.
                [3 ] 3 Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
                [4 ] 4 Health Data Management Office, China Medical University Hospital, Taichung, Taiwan.
                [5 ] 5 School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan.
                [6 ] 6 Department of Biotechnology, Asia Univeristy, Taichung, Taiwan.
                Article
                DOI: 10.1177/1534735417716302
                PMC ID: 6041896
                PubMed ID: 28665160
                SO-VID: a78206d8-04de-4ce2-8428-c66e3051920b
                History

                Keywords: cancer,acupuncture,National Health Insurance Research Database,traditional Chinese medicine,complementary and alternative medicine
                Data availability:
                Keywords: cancer, acupuncture, National Health Insurance Research Database, traditional Chinese medicine, complementary and alternative medicine

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